The recipient entity's physical address:
           10494 Florida Blvd
Walker, LA 70785

The recipient entity's mailing address (if different):
           10494 Florida Blvd
Walker, LA 70785

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Corporation

If the entity is a corporation, list the names of the incorporators:
          N/A

The last four digits of the entity's taxpayer ID number:  3167

What is the dollar amount of the request?  $921,600

What type of request is this?  Both

Is this entity in good standing with the Secretary of State?  Yes

Provide the name of each member of the recipient entity's governing board and officers:
           Jerry Morgan JR
Executive director
32561 Mangum Chapel Rd
Walker, LA 70785
Toni Dugas 225-603-8464 tap033@yahoo.com 11168 Burgess Ave., Denham Springs, LA 70726
Julie Jeffers 225-278-7832 julie.jeffers@lpsb.org 35308 Fletcher Hill Dr. Denham Springs, LA 70706
Stephanie Reid 225-938-6286 stephaniebreid@gmail.com 34832 LA Hwy 1019 Unit 4B Denham Springs, LA 70706
Cherie Odom 225-247-7923 c.odom@twru.com 29324 Gaylord Rd. Walker, LA 70785
Aaron Ellis 225-333-1361 aaronellisattorney@att.net
Theresa Howze 225-413-8730 thwheelis@cox.net 12829 Ina Dr. Walker, LA 70785
Chad Broussard 225-252-1265 cbrouss/@cox.net 13332 Sunny Ln Walker, LA 70785
Shawn Duet 225-907-2485 shawn880@hotmail.com 28820 Danielle Ben Dr. Walker, LA70785
Gordon Shelton 225-244-2375 gordon.shelton@gmail.com 28453 Red Oak Dr. Walker, LA 70785
Tina Morales 504-234-2424 tina.morales2315@yahoo.com 12989 Sutcliff Dr. Walker, LA 70785
Mike Cotton 225-505-8386 mdcotton@hotmail.com 27560 Gaylord Rd. Walker, LA 70785

Provide a summary of the project or program:
           This project is to complete the construction of our new facility the other two existing buildings are no longer safe to use. The new facility will replace those two and offer a more spacious safe ADA compliant building.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $0
          Professional Services. . . $0
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $0
          Major Repairs . . . . . . . $0
          Operating Services. . . . $0
          Other Charges. . . . . . . $921,600

Does your organization have any outstanding audit issues or findings?  No

If 'Yes' is your organization working with the appropriate governmental agencies to resolve those issues or findings?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Our purpose is to serve the Special needs adults of Region 9. We offer Day habilitation services as well as vocational services.

What are the goals and objectives for achieving such purpose?
          Our goal is to replace the unusable buildings with a new safe facility for our clients to attend Dailey.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           18 Months

If any elected or appointed state official or an immediate family member of such an official is an officer, director, trustee, or employee of the recipient entity who receives compensation or holds any ownership interest therein:
     (a) If an elected or appointed state official, the name and address of the official and the office held by such person:
                 N/A
    
     (b) If an immediate family member of an elected or appointed state official, the name and address of such person; the name, address, and office of the official to whom the person is related; and the nature of the relationship:
                 n/A

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                 

If the recipient entity has a contract with any elected or appointed state official or an immediate family member of such an official or with the state or any political subdivision of the state:
(a) If the contract is with an elected or appointed state official, provide the name and address of the official and the office held by such person: 
               N/A

(b) If the contract is with an immediate family member of an elected or appointed state official:
          Provide the name and address of such person:
               N/A

          Provide the name, address, and office of the official to whom the person is related:
                N/A

          What is the nature of the relationship? 

(c) If the contract is with the state or a political subdivision of the state, provide the name and address of the state entity or political subdivision of the state:
                 N/A

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               N/A


Contact Information
name:  HEATHER BOLEY 
                                       address:  26614 Debra Dr
DENHAM SPRINGS, LA 70726
                                       phone:  2253628458
                                       fax: 
                                       e-mail:  boleyheather@yahoo.com
                                       relationship to entity:  ASSISTANT DIRECTOR